John K. Wallace, MD
Ophthalmology · Dothan, AL
UnclaimedMDNPI 1992735302
- Primary taxonomy
- 207W00000X
- Enumerated
- 2006-07-03
- Practice location
- Dothan, AL
- Last NPPES update
- 2010-03-22
State licenses
- AL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.